The Hospital Cecilia Grierson Center should be a High Resolution (CAR) for the neighborhood of Villa Lugano and the whole commune 8, the most deprived and vulnerable. However, the Auditor General of the City of Buenos Aires (AGCBA, for its acronym in Spanish) found that it was still working as an Integrated Health Center (CSI) less complex.

Therefore it recommended "deepening all actions that allow the incorporation of the Center to an organized system of increasing levels of attention given the particularity of their environment, that is, the education, health and housing shortage in the neighborhoods of influence."

It was in 2005 through the 1769 Act that the construction of a hospital in Lugano prepared. It was completed in June to 2009. However, until 2011, the year analyzed by the AGCBA still "had not defined its role in the health system."

The Grierson organization "meets the characteristics of an effector of primary care but have budgetary item, specialties and areas that exceed benefits and services offered by these centers."

Neither This nor That

The report, approved in February 2014, added that "it is not defined as executing steps were planned in the original project."

The Director General in charge of the area of Physical Resources of the Ministry of Health reported in 2009 that "the continuation of the work was not foreseen when it started in 2007 and it still was pending a final acceptance."

Additionally there are the definitions of the Directorate Health Region 2. It explains that "the first stage of the Center is operating in a building of 2300 square meters and provides health coverage at the primary level." But it emphasizes a "second phase in which it will work as a center of high resolution."

The latter provides for the construction, between 2013 and 2015, of a block from the Central Emergency. So "it started to make diagnostic studies of medium and low complexity, outpatient surgeries will be implemented with double emergency observation and 24 hours."

Pending Accounts

The AGCBA’s report warns of "underfunding of administrative staff caused by the concentration of responsibilities and the consequent inability to generate necessary indicators for management." While the situation improved, "in 2011 the central level had no statistics systematically sent."

To this it adds "there are no labs so extractions are processed in the Santojanni Hospital". Nor do they have "a system of preventive or corrective maintenance of instruments and equipment", such as dental chairs or structure used in radiology. 

On medical waste, it’s a recurrent matter in the center of the Buenos Aires health issue, Grierson is no exception. There too, "the location of the deposit is not adequate" in fact "it is in a hall of common use." In 2011, it was not known how much waste was generated "due to a lack of monthly records."

The service has two new ultrasound scans but the printer they use "is owned by one of the professionals working in service" and computer "is not the center’s computer, but it’s from the Health Region 2".